Chapter 4 Patient Care and Safety

Question 1

When admitting a patient to the diagnostic imaging department, what should be done?

Answer 1

• Take the patient to the dressing area and explain in some detail how he or she should dress for the procedure.
• Give the patient directions concerning how to care for valuables brought to the department.
• Assist any patient who appears to need assistance with preparation for an examination.

Question 2

The most effective means of reducing friction when moving a patient is by:

Answer 2

Asking the patient to cooperate

Question 3

When transporting a patient back to the hospital room, some safety measures to be used are:

Answer 3

• Place the side rails up, the bed in “low” position,and the call bell at hand.
• Inform the nurse in charge of the patient that the patient has been returned to the room.

Question 4

Which procedures must be observed when assisting a patient with a bedpan?

Answer 4

• Respect the patient’s privacy.
• Seek assistance for an immobile patient.
• Wear clean gloves to remove the bedpan.
• Make sure to offer tissue to the patient and a towel to clean his or her hands.

Question 5

Contributing factors to skin breakdown are:

Answer 5

• Friction and pressure

- A wet environment

Question 6

If a patient who has a cast in place complains of pain that is sudden in onset and increases in intensity when the affected limb is moved, what should be done?

Answer 6

• Elevate the affected limb.

- Notify a physician immediately.

Question 7

When caring for a patient who has a new cast applied to an extremity, what must be remembered?

Answer 7

• Observe for signs of impaired circulation.

- Support the cast with bolsters and sand bags where needed.

Question 8

When caring for a patient who is disabled and is difficult to move, it is best to:

Answer 8

Obtain as much help as necessary to avoid injury to the patient and to the radiographer.

Question 9

When moving a heavy object, you should:

Answer 9

When moving a heavy object, you should pull the weight, not push it.

Question 10

Patients most prone to falls are:

Answer 10

• The frail elderly
• The person who is confused
• Persons who have been given a psychoactive drug
• Persons with sensory deficits

Question 11

When moving a patient into an unnatural position for a radiographic examination, the patient should maintain that position:

Answer 11

When moving a patient into an unnatural position for a radiographic examination, the patient should maintain that position Only for the time it takes to make the exposure.

Question 12

Sims Position

Answer 12

Patient on side with forward arm flexed and top knee flexed

Question 13

Fowler Position

Answer 13

Semi-sitting position with head raised 45 to 60 degrees

Question 14

Supine Position

Answer 14

Patient lying flat on back

Question 15

Trendelenburg Position

Answer 15

Patient on back with head lower than extremities

Question 16

Semi-Fowler Position

Answer 16

Patient on back with head raised 15 to 30 degrees

Question 17

Name the two convenient and safe methods of moving a patient from a radiographic table to a gurney:

Answer 17

• Pull sheet

- Slide board transfer

Question 18

Describe three legitimate reasons for application of immobilizers to an adult patient:

Answer 18

• Control movement of an extremity
• Remind a person who is sedated to remain still
• Prevent an impaired person from injury

Question 19

List four signs of circulatory impairment if a patient is wearing a cast:

Answer 19

• Pain
• Coldness
• Numbness
• Swelling
• Skin color changes
• Inability to move fingers/toes
• Decrease in or absence of pulses

Question 20

What are three methods of reducing a patient’s exposure to ionizing radiation?

Answer 20

• Collimation
• Shielding, Distance, Time
• Reducing the amount of time the exposure is being made (such as reducing the number of exposures taken)

Question 21

The leading cause of work-related injuries in the field of health care is:

Answer 21

Abuse of the spine when moving and lifting patients